DR. GRATIAS TOM MUNDAKEL (NPI# 1265523427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265523427 |
Entity Type | Individual |
Full Name | DR. GRATIAS TOM MUNDAKEL |
Credential | M. D. |
Practice Address |
451 Clarkson Ave, C4128 Kings County Hospital Center Brooklyn NY 10301 |
Mailing Address |
700 Victory Blvd Apt 5l Staten Island NY 10301 |
Practice Telephone | 7182454753 |
Practice Fax Number | 7182452141 |
Mailing Telephone | 5163580186 |
Enumeration Date | 2006-09-27 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
002068 | NY | Allopathic & Osteopathic Physicians |
Street Address |
451 CLARKSON AVE, C4128 KINGS COUNTY HOSPITAL CENTER |
City | BROOKLYN |
State | NY |
Zip Code | 10301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417586397 | Maria Duncan | Registered Nurse | Nurse Family Partnership, 358 St. Marks Place, 5th Floor, Staten Island, NY 10301 | 2020-04-03 |
1659835569 | Ipark Podiatry P.C. | Podiatrist | 970 Bard Avenue, Staten Island, NY 10301 | 2019-01-24 |
1386149789 | Dana Gioia | Specialist | 215 Hart Blvd Apt 5a, Staten Island, NY 10301 | 2018-03-27 |
1710404850 | Physical Therapy Unlimited | Preferred Provider Organization | 684 Ocean Terrace, Staten Island, NY 10301 | 2017-08-29 |
1356885438 | Jessica Glassman | Social Worker | 10 Dobbs Pl, Staten Island, NY 10301 | 2016-12-08 |
1679016372 | Amelia Rella | Speech-Language Pathologist | 60 Foote Ave, Staten Island, NY 10301 | 2016-11-29 |
1457714958 | Philip Kaplan | Dentist | 155 Bay Street, Unit C3, Staten Island, NY 10301 | 2016-04-01 |
1104284777 | Marie G Joseph | Social Worker | 2381 Hyland Blvd, Staten Island, NY 10301 | 2016-02-10 |
1700262565 | Courtney Pryor | Speech-Language Pathologist | 57 Westbury Avenue, Staten Island, NY 10301 | 2015-08-04 |
1710377999 | Jessica Maldarelli | Speech-Language Pathologist | 91 Henderson Avenue, Staten Island, NY 10301 | 2015-01-27 |
Find all providers in zip 10301 |
Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093238339 | Maria Pygerou-kofinas | Pediatrics | 506 Sixth Street Kp4, Brooklyn, NY 11215 | 2017-07-19 |
1063893089 | Namirembe Joan Kazibwe | Pediatrics | 539, 85th Street, Apt 3f, Brooklyn, NY 11209 | 2015-06-16 |
1114339322 | Michelle Quan | Pediatrics | 388 Bridge St, Apt 11b, Brooklyn, NY 11201-5210 | 2014-05-21 |
1952728883 | Thomas Hays | Pediatrics | 41 Hausman St, Brooklyn, NY 11222 | 2014-03-28 |
1992885057 | Ali Nadroo | Pediatrics | 236 7th Ave, Brooklyn, NY 11215-3415 | 2006-10-16 |
1194789388 | Asma Asif Ahmad | Pediatrics | 461 Clarkson Ave, Kings County Medical Center, Brooklyn, NY 11203 | 2006-04-14 |
1528063377 | John Casey | Pediatrics | 760 Broadway, Woodhull Medical & Mental Health Center, Department of Pediatrics, Brooklyn, NY 11206 | 2005-06-17 |
1427445949 | Anna Zylak | Pediatrics | 121 Dekalb Ave, Dept of Pediatrics, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2015-04-22 |
1275960742 | Chris Papazafiratou | Pediatrics | 2601 Ocean Parkway, Brooklyn, NY 11235 | 2013-09-30 |
1790128866 | Farah Hussain | Pediatrics | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2013-04-09 |
Find all providers in BROOKLYN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.